The purpose of the CAC Critical Material Library is to provide documentation for physician and provider interventions regarding specific subject matters. Documents are reviewed at the CAC meeting or by specialists annually to ensure they continue to increase the efficiency, quality and effectiveness of the Medicaid healthcare system.
Dental
Durable Medical Equipment
- Augmentive Communication Systems
- Back-up Ventilator
- Ceiling Track Lifts and-or Electric Patient Lifts
- Continuous Glucose Monitoring
- Enteral Products and Supplies
- Gait Trainer-Stander
- High Frequency Chest Wall Oscillation
- Mobility Related Device Purchase
- Negative Pressure Wound Therapy
- Percussors
- Pneumatic Compression Devices
- Power Seat Elevation for Power Wheelchairs
- Power Wheelchair Attendant Controls
- Safety Beds
- Shower-Commode Chair
- Strollers and Wheelchairs for Safety
- Wearable Automatic External Defibrillator
Home Health
Laboratory Testing
- Gene Expression Profiling for Management of Breast Cancer
- Genetic Testing for Hereditary Breast and Ovarian Cancer Syndrome
- Genetic Testing
- Non-Invasive Prenatal Testing for Aneuploidy Using Cell Free DNA
Level of Care
- Children's Mental Health Waiver Level of Care
- Non-Financial Habilitation Eligibility
- Intermediate Care Facility- Intellectual Disability Level of Care
- Nursing Facility Level of Care
- Pediatric Skilled Nursing Facility Level of Care
- Skilled Level of Care
Medication
- Bavencio (avelumab )
- Botulinum Toxins
- Brineura (cerliponase alfa )
- Crysvita (burosumab-TWZA)
- Elaprase (idursulfase)
- Enhertu (fam-trastuzumab deruztecan-nxki)
- Exondys 51 (eteplirsen)
- Imfinzi (durvalumab)
- Jelmyto (mitomycin gel)
- Kadcyla (ado-trastuzumab emutansine)
- Keytruda (pembrolizumab)
- Krystexxa (pegloticase)
- Kymriah (tisagenlecleucel)
- Namenda (memantine) for Autism Spectrum Disorder
- Ocrevus (ocrelizumab)
- Orbactiv (oritavancin)
- Radicava (edaravone)
- Spinraza (nusinersen)
- Spravato Nasal Spray (esketamine)
- Tepezza (teprotumumab-trbw)
- Tysabri (natalizumab)
- Vitamin, Mineral, Amino Acid Supplements
- Vivitrol (naltrexone exteneded-release injection)
- Vyepti (eptinezumab-jjmr)
- Vyondys 53 Injection (golodirsen)
- Zolgensma (onasemnogene abeparvovec-xioi)
Ophthamology
Radiology
Surgical Procedures
- Bariatric Surgery
- Blepharoplasty
- Bone Marrow and-or Peripheral Blood Stem Cell Transplant
- Cochlear Implant
- Cochlear Implant Repair and Replacement
- Fecal Microbiota Transplant
- Heart Transplant
- Laser Linear Accelerator Based Stereotactic Radiosurgery
- Liver Transplant
- Lung Transplant
- Nipple Tattooing
- Pancreas Transplant
- Panniculectomy
- Reduction Mammoplasty-Mastopexy
- Risk Reduction Mastectomy
- Septoplasty-Rhinoplasty
- Vagus Nerve Stimulator
- Varicose Vein Treatment
Therapy-Counseling
Waiver Prior Authorization
- Consumer Directed Attendant Care
- Environmental Modification and Adaptive Devices
- Home and Vehicle Modification
- Prevocational Services
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